These individuals report about one extra unhealthy day and close to one-third of a day more of missed work each month compared with their counterparts who are normal weight and have no history of other chronic conditions.

The morbidity variables are (1) the percent of adults reporting fair or poor health ("self-reported health"); (2) the mean number of physically unhealthy days per month for adults ("physical unhealthy days"); (3) the mean number of mentally unhealthy days per month for adults ("mental unhealthy days"); and (4) the percent of live births with birthweight <2,500 g ("low birth weight").

Healthcare workers who are thriving in three or more elements are more likely to be at work every day, because they have fewer unhealthy days that prevent them from doing their usual activities than do those with lower well-being.

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